Cesarean section quality initiative.

摘要

Cesarean section delivery rates continue to rise consistently across the country and have been seen across all maternal age, racial and socioeconomic groups. In state fiscal year 2009, the rate for SoonerCare members was 32.16 percent. The state average for primary C-section delivery was 20.2 percent, with the Tulsa area having the lowest rate, at just above 18 percent. However, these figures also have steadily increased in our state. The Oklahoma Health Care Authority (OHCA) has begun implementation of a quality initiative to address the rising C-section rate. The concern for potential harm from a non-medically indicated C-section applies to mother and baby. The mother has both short- and long-term potential morbidity. Her newborn, if delivered before 39 weeks, has a longer length of hospital stay, in addition to a higher rate of respiratory complications and neonatal ICU admission.